BONNIE FREDERICA BLAKE (Credential# 1399165) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is January 20, 2017. The license expiration date date is May 19, 2017. The license status is INACTIVE.
BONNIE FREDERICA BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.139853-TEMP. The credential type is registered nurse - temporary. The effective date is January 20, 2017. The expiration date is May 19, 2017. The business address is 8108 265th St, Floral Park, NY 11004-1535. The current status is inactive.
Licensee Name | BONNIE FREDERICA BLAKE |
Credential ID | 1399165 |
Credential Number | 10.139853-TEMP |
Credential Type | Registered Nurse - Temporary |
Credential SubCategory | TEMP |
Business Address |
8108 265th St Floral Park NY 11004-1535 |
Business Type | INDIVIDUAL |
Status | INACTIVE - INACTIVE |
Issue Date | 2017-01-20 |
Effective Date | 2017-01-20 |
Expiration Date | 2017-05-19 |
Refresh Date | 2017-05-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1385857 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
Street Address | 8108 265TH ST |
City | FLORAL PARK |
State | NY |
Zip Code | 11004-1535 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Prabhjot Singh | 83-14 266th St, Floral Park, NY 11004 | Physician/surgeon | ~ |
Alby Ann Jacob | 74-10 263rd St, Glen Oaks, NY 11004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Gunjan U Khandwala | 83-14 262nd Street, Floral Park, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Narendra Vora | 73-49 260 Street, Glen Oaks, NY 11004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
John Palmerson | 263 Street 80-35, Floral Park, NY 11004 | Notary Public Appointment | 2006-09-06 ~ 2011-09-30 |
Anne Elizabeth Spencer | 261-08b Langston Ave, Glen Oaks, NY 11004 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Soon-jung Fong | 26033 73rd Ave, Glen Oaks, NY 11004 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Patricia E Ziske | P.o. Box 40302, Glen Oaks, NY 11004 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Srinivasa Rao Komirisetty | 7554 255th St #a1, Glen Oaks, NY 11004 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
Mandeep S Sahi | 76-16 264 St, Glen Oaks, NY 11004 | Home Improvement Contractor | 2006-11-27 ~ 2007-11-30 |
Find all Licenses in zip 11004 |
City | FLORAL PARK |
Zip Code | 11004 |
License Type | Registered Nurse - Temporary |
License Type + County | Registered Nurse - Temporary + FLORAL PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bonnie O Hicks | 400 Blake Street, New Haven, CT 06515 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Bonnie Jean Russell | Po Box 924, Tishomingo, OK 73460-0924 | Registered Nurse - Temporary | 2012-07-18 ~ 2012-11-15 |
Bonnie J Ball | 25 Glenna Dr, Carmel, NY 10512-1501 | Registered Nurse - Temporary | 2012-02-14 ~ 2012-06-13 |
Robert Blake Smith | 463 N 4000 E, Rigby, ID 83442-5176 | Registered Nurse - Temporary | 2014-01-22 ~ 2014-05-21 |
Bonnie G Ryan | 509 Sweetwater Cmns, Brandon, MS 39047-7423 | Registered Nurse - Temporary | 2010-06-01 ~ 2010-09-29 |
Bonnie Lea Davis | 8948 Elstner Ave Ne, Rockford, MI 49341-7581 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
Susan J Timko | 367 Bonnie Ave, Rohnert Park, CA 94928-3914 | Registered Nurse - Temporary | 2012-06-25 ~ 2012-10-23 |
Bonnie Lee Smith | 832 State Route 29, Middleville, NY 13406-2102 | Registered Nurse - Temporary | 2019-11-26 ~ 2020-03-25 |
Bonnie M Hanson | 1108 Valetto Loop, Myrtle Beach, SC 29579-8029 | Registered Nurse - Temporary | 2018-08-29 ~ 2018-12-26 |
Frederica Baer | 24416 Hwy 550, Ridgway, CO 81432 | Registered Nurse | 2005-04-04 ~ 2006-03-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).